Transitional Care Coordinator Jobs in Indiana (NOW HIRING)

Job Description:
Job Summary: This position is responsible for integrated patient care coordination under
the direction of the Integrate Care Team model.
Primary Job Responsibilities:
1. Optimized and pulling data to identify high risk patients and engage them in care.
2. Administers and records data from applicable behavioral health and primary care health
screens.
3. Educates patient/family about diagnostic procedures, nutrition and maintenance of health and
wellness.
4. Adheres to infection control/safety guidelines and confidentiality policies.
5. Participates in the development of the shared plan of care with other team members and safely
coordinates the implementation of that plan.
6. Promotes wellness by providing disease management information, patient education materials,
communicating physician advice/instructions.
7. Coordinates care of patients with internal and external professionals.
8. Coordinate the scheduling of integrated care appointments and procedures according to
established protocol.
9. Maintains/reviews patient records, charts and other pertinent information.
10. Responds to/refers patient treatment-related phone calls.
11. Professionally represents A&C in the community participating in public health fairs and events.
12. Documents and coordinates data, information, and clinical practices across multiple EMR's and
databases.
13. Coordinates and follows patient referrals to specialty provider to enable/encourage patient
attendance and follow up return to clinic.
14. Coordinate clinical data exchange and retrieval of results with specialty providers
15. Coordinates discharge and transition planning for patient care.
16. Maintains patient confidentiality.
17. Performs complete assessment of medical and behavioral healthcare needs, family support
structure, and patient eligibility status to obtain resources.
18. Effectively communicates barriers to healthcare teams
19. Knowledgeable of Medicaid/Medicare guidelines, Marketplace plans, and
commercial insurance benefits and services.
20. Advocates for patients/clients by communicating patient desired healthcare
choices.
21. Experienced with MCE plan benefits highly preferred.
22. Perform other related duties as directed or required.
Education: BSW or closely related degree. Certified MA or LPN preferred, but not
necessary.
Experience: 3 years preferred.
Employment Requirements:

• Successful completion of background check including criminal record, driving record, abuse/neglect and fingerprint check.
  
• Completion of New Hire Orientation at the beginning of employment.
  
• All training requirements including Relias at the beginning of employment and annually thereafter.
  
• Current driver's license, acceptable driving record and current auto insurance.
  

Physical Requirements:
ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift.
Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Employment Opportunity Employer.
Adult & Child Health is a Smoke and Tobacco Free Workplace.